Job Information
TEKsystems AR Follow Up Rep - Medicaid in Chesapeake, Virginia
As the AR Follow Up Representative - MEDICAID
If you’re ready to explore the next step in your career:
You’ll enjoy…
Career Opportunities – Tons of growth opportunities for your career
Standard Hours - Monday-Friday (8:00 am - 4:30 pm)
Workplace Setting – Onsite in Chesapeake, VA
Competitive Pay - $20.00-22.00/hr
Expedited Interviews – Access to additional Resume support and pre-interview questions
A day in the role…
Work out of EPIC work ques or an "ATB report" which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques)
Work high dollar accounts first, work down from there- organizing their report
They will sort by age of claims first and work accounts from oldest to newest
Go through the accounts to see what is paid, what is denied and then start working from there
Working denials
If they need a medical records request they will request it from medical records and then load it onto the provider portal
Reaching out to insurance companies to figure out why there are denied claims
Getting with the patients to update coordination of benefits
Anything that needs to be done to get claims paid
Need to analyze trends to see if there are constant reasons why something continues to get denied and work with Kadisha on this so they can fix it moving forward
Metrics - 50+ accounts per day that they need to work (given the dollar amount, follow up reasons or denial reasons- so this could change if these are higher dollar may not work as many accounts in that day)
Will work in EPIC, payer portals, on base which is the scanning system, and Excel (they are looking for ATB -AGED TRIAL BALANCE feedback in that spreadsheet) * SPECIFIC TO MEDICAID
Main responsibilities according to the manager-
Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers.
Understand how to resolve Billing errors and/or warnings that are identified in the Patient Accounting and Billing System.
Keep abreast of payer-specific and government requirements and regulations.
Ensures claim information is complete and accurate in order to accelerate cash collections.
Analyze information contained within the Patient Accounting and Billing system to make decisions on how to proceed with the billing of an account.
Processes rejections by correcting any billing error and resubmitting claims to government and non-government payers.
Place unbillable claims on hold and properly communicate to various Hospital departments the information needed to accurately bill.
Process late charge claims in the event that charges are not entered in a timely fashion by Hospital Departments.
Submit corrected claims in the event that the original claim information has changed for various reasons.
Perform the billing of complex scenarios such as interim, self-audit, combined, and split billing etc.
Limit the number of unreleased claims by reviewing all imported claims and either billing or holding the claim for further review.
Meet Billing productivity and quality requirements as developed by Leadership.
Measured on high production levels, quality of work output, in compliance with established CRH’s policy and standards.
Record or generate revenue by gathering and processing information that impacts the patient revenue process.
Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met.
Necessary Skills and Strengths:
AR Follow Up | Review Denials | Medicaid Coverage | Insurance Payer Knowledge | EOB | Medical Billing | Denied Claims | EMR Systems
Core Experience:
Accounts Receivable (2+ years of experience)
AR Follow Up
Medicaid AR Experience
Denied Claims / Appeals
Strong Insurance Knowledge
Pay and Benefits
The pay range for this position is $20.00 - $22.00
• Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Chesapeake,VA.
Application Deadline
This position will be accepting applications until Dec 27, 2024.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.